Healthcare Provider Details

I. General information

NPI: 1457274730
Provider Name (Legal Business Name): LONGEVITY CHIROPRACTIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 E MATTHEWS ST
MATTHEWS NC
28105-5372
US

IV. Provider business mailing address

316 E MATTHEWS ST
MATTHEWS NC
28105-5372
US

V. Phone/Fax

Practice location:
  • Phone: 704-774-5030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: KAYLA CALHOUN
Title or Position: OWNER
Credential: DC
Phone: 515-822-0305